Is optimization the key to managing Chronic Venous Insufficiency?

On July 17, 2025, the White House announced that President Trump had been diagnosed with chronic venous insufficiency (CVI), which was causing swelling in his lower legs and feet. My first thought was, Ouch. Trump’s a big guy at 6’ 3” and easily 240 lbs. (if not 280), and putting that weight on swollen feet can’t be fun. To make matters worse, he puts in long days and even if he’s not on his feet the whole time, he has little opportunity to elevate his feet, which is important to manage the condition. And as I’ve often been told, swollen feet are sometimes an indicator of a heart condition, and the last thing we want is a Commander-in-Chief with a bum ticker.

Heart & Arteries

My second thought was, “Gee, this sounds familiar.” Since my early 50s, I’ve been bothered with swelling in my feet and lower legs, especially after flying in an airplane. I’ve had spidery veins in my ankles since my 40s. In my young adult days, a three-to-five mile run was a staple of my fitness regimen. But since my mid-50s I haven’t done any running; a quarter mile on pavement will cause my feet to balloon. (I had an acupuncturist who suggested eating pearl barley when my feet swell, and that’s generally helpful.)  

I’ve also developed painful neuropathy in my legs, which has dampened some of my activities. Since 2012, I’ve been an avid ballroom dancer, but the pain has sucked much of the joy out of that. Even gardening, which requires a fair amount of crouching and kneeling, was producing terrible pain in my swollen legs.

However, in the last couple of years, I’ve gotten a great degree of relief from the swelling and neuropathy, relief that I attribute to NAD+ optimization. If you’ve read my other columns on the subject, you know that the supplement I take, Vitality Boost from Jinfiniti, has helped me turn around a plethora of symptoms related to age and metabolic deficiencies. Before I was taking Vitality Boost, I slept badly because of cramping in my legs and my first few steps every morning were especially trying.

Today, I’m doing much better. Not only don’t my feet swell up anymore (and I rarely have to boil any barley), and I don’t get night cramps anymore, but the neuropathy is subsiding. That’s a symptom we’re told will only get worse with age. Yet mine is improving, along with other symptoms like fatigue, brain fog, allergies, etc. In fact, my issues with inflammation, the source of so much age-related pain, have diminished to the point where I no longer suffer from shoulder impingement, and am back to lifting weights at the gym.

So, I wondered if NAD+ optimization might also help President Trump and other folks suffering with chronic venous insufficiency. I contact Dr. Jin-Xiong She, the eminent microbiologist behind Vitality Boost and he emphatically told me, “Yes!”

What is chronic venous insufficiency or CVI?

Chronic venous insufficiency occurs when the veins in the legs struggle to return blood to the heart, often due to damaged or weakened valves. This leads to blood pooling in the lower extremities, causing symptoms such as swelling, aching, cramping, or skin discoloration. While generally regarded as a benign condition, particularly prevalent in individuals over 70, CVI warrants a closer look. In severe cases, it can result in leg ulcers or increased risk of complications like deep vein thrombosis (DVT). According to the Cleveland Clinic, CVI affects approximately 1 in 20 adults, with risk factors including advanced age, obesity, prolonged sitting or standing, and a history of blood clots.

President Trump’s physician, Dr. Barbabella stated that no evidence of DVT, arterial disease, heart failure, or systemic illness was found. All lab results were within normal limits and an echocardiogram confirmed normal cardiac function.

Orion at White House for Made in America Product Showcase (NHQ201807230018)

Treatment for CVI typically focuses on symptom management and preventing progression. Conservative measures include wearing medical-grade compression socks to aid blood flow, elevating the legs for 30 minutes multiple times daily, and engaging in regular exercise like walking to strengthen leg muscles. Weight management is also critical, as excess weight exacerbates venous pressure. In more severe cases, treatments like sclerotherapy (injecting a solution to collapse affected veins) or laser therapy may be used to reroute blood through healthier veins. The White House did not disclose a specific treatment plan for the president.

President Trump’s CVI diagnosis underscores the importance of proactive health management in aging leaders, something that was not a priority for the last White House.

Can NAD+ optimization alleviate and/or eliminate CVI?

According to Dr. She, NAD+ can definitely help President Trump’s condition on multiple fronts:

  • Help repair damage and leaks in the veins
  • Help manage weight by boosting metabolism
  • Reduce inflammation by combatting free radicals that produce oxidative stress.

Dr. She said he would also add a Turmeric+ product, which can help clear blood clots. 

Now’s the time to optimize your NAD+

If you are struggling with similar symptoms, you should certainly consult a physician to be on the safe side. But don’t settle for prescriptions that only mask the symptoms and don’t treat the underlying factors. I remember my mother regularly took prescription diuretics for swelling in her hands and feet, but never got any advice from her doctor on diet, nutrition, or lifestyle adjustments. She became dependent on those meds to address her frequent flareups, Fortunately, we know much more today about what is happening on a cellular level to cause these types of symptoms.

NAD+ is a natural compound that is essential for about 500 cellular functions. If you are deficient in NAD+, you’re going to have issues with a sluggish metabolism, insulin resistance, depleted energy, mental fog, and on and on. Optimizing your NAD+ can reverse those trends and restore you to vibrant good health. It’s well worth investigating.

Great news: Get started with NAD for 10 percent off!

Vitality Boost from Jinfiniti Precision Medicine

You can get started with Vitality Boost for 10 percent off the standard price by using my offer code KevinRush10 at checkout. Just follow this linkJinfiniti!

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